Scott O Caudle, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

13233 Issued in TN

Practice address

1503 W Elk Ave
Suite 1
Elizabethton, TN 37643-2876

Phone

(423) 543-8619

Fax

(423) 543-5133

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General SurgeryAlso: Addiction Medicine, Vascular Surgery

Education

University of Tennessee, HSC, College of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scott O CaudleGroup PAC ID 7719154335, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sycamore Shoals Hospital Hospital, Elizabethton, TN, CCN 440018

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Scott O Caudle

  • Nurse Practitioner
  • Elizabethton, TN
  • NPI 1396943841

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mountain States Health Alliance

  • General Acute Care Hospital
  • Elizabethton, TN
  • NPI 1891801734
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1770570772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 W ELK AVE",
            "address_2": "SUITE 1",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432876",
            "telephone_number": "423-543-8619",
            "fax_number": "423-543-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 W ELK AVE",
            "address_2": "SUITE 1",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432876",
            "telephone_number": "423-543-8619",
            "fax_number": "423-543-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDLE",
        "first_name": "SCOTT",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TN",
            "license": "13233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3380824",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "39248",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Christopher Manoli Chrisohon, PA-C
• Vivian M Clark, M.D.
• Buddy J Clayton, MD

• General Practice Physician in Elizabethton, TN
• Providers in Elizabethton, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.